<div class="form-group">
    <label class="col-sm-3 control-label">病区名称 <span class="asterisk">*</span></label>
    <div class="col-sm-6">
        <input type="text" class="form-control" name="name" id="tag" value="{{ $data['name'] }}" autofocus>
    </div>
</div>
<div class="form-group">
    <label class="col-sm-3 control-label">负责人 <span class="asterisk">*</span></label>
    <div class="col-sm-6">
        <input type="text" class="form-control" name="leader" id="tag" value="{{ $data['leader'] }}" autofocus>
    </div>
</div>
<div class="form-group">
    <label class="col-sm-3 control-label">病床数 <span class="asterisk">*</span></label>
    <div class="col-sm-6">
        <input type="text" class="form-control" name="num" id="tag" value="{{ $data['num'] }}" >
    </div>
</div>
